Case study
Project IMPACT:Clinical Decision Support in Critical Care
Gordon D. Brown The Setting Leaders of the critical care unit at Western
Metropolitan Medical Center recommend to the executive staff to acquire access
to Project IMPACT, a database that contains descriptions of intensive care unit
(ICU) patients, their care, and outcomes. This recommendation is appropriate
for the institution’s commitment to quality of patient care and is championed
by the director of the critical care unit, who holds a national leadership
position at the Society of Critical Care Medicine. The critical care unit’s
physicians also support Project IMPACT and are similarly involved with the
Society of Critical Care Medicine, which developed the database for
Tri-Analytics (see www.trianalytics.com/programs_pi.html). Project IMPACT was
acquired by the Cerner Corporation as a strategy for collaborating with
physician groups. Other products of the company include the following: •
IMPACTessentialT, a registry
that includes data elements that describe patient demographics, admitting diagnoses,
condition and acuity, lengths of stay in ICU and hospital, and condition on
dis- charge • IMPACTsepsisT, a registry for severe sepsis in ICUs The goal of
Project IMPACT is to provide a database for monitor- ing and reporting critical
care treatment and outcomes for subscribing institutions. The database provides
a centralized, efficient, and consistent means for collecting and analyzing
data on ICU patients. A better under- standing of these occurrences and the
performance of each center and physician will enable staff to evaluate
equipment and training, improve practices, and ultimately improve outcomes.
More efficient treatment of critical care patients is needed given that their
care represents 14 percent of acute care costs annually. Western takes the recommendation and subscribes to Project
IMPACT as a strategy to boost clinical quality. Subscription enables the
institution to access software that establishes data standards, checks for data
quality, and automatically prepares data for submission to the central
questions to answer
- Explain how the gap between developers and end users effects outcomes
- Explain how you would change the design of the Clinical Decision Support System to address the concerns of the clinicians in this case study
- The IMPACT database relies on critical care nurses to enter data into the system. An older nurse is struggling with inputting the data due to her advanced arthritis. What recommendations would you make to address the IMPACT user interface and ergonomics of the workplace to address the nurses’ data entry issue?
- Design a new data input screen.
- Create a mock screen utilizing any of the Microsoft products
Your Paper:
- Must be one to two double-spaced pages in length, excluding the title and reference pages, and formatted according to APA style as outlined in the Ashford Writing Center.
- Must include a title page with the following:
- Title of paper
- Student’s name
- Course name and number
- Instructor’s name
- Date submitted
- Utilize a minimum of two scholarly sources, excluding the textbook.
- Must begin with an introductory paragraph and end with a conclusion
Expert Solution Preview
Introduction:
This paper will address various questions related to the case study of Project IMPACT: Clinical Decision Support in Critical Care. The questions will be answered based on the information provided in the case study, and additional sources will be used as needed.
1. Explain how the gap between developers and end-users affects outcomes.
The gap between developers and end-users can affect outcomes in many ways. Developers may not have a clear understanding of the end-users’ needs, requirements, or workflows, leading to a system that does not meet the end-users’ expectations. End-users may have difficulty using the system, leading to errors, frustration, and reduced efficiency. This can worsen with complex systems that require extensive training and involve multiple stakeholders. Therefore, it is crucial to involve end-users in the design, development, and testing phases of the system to ensure that their needs and requirements are appropriately addressed.
2. Explain how you would change the design of the Clinical Decision Support System to address the concerns of the clinicians in this case study.
To address the concerns of clinicians in this case study, the design of the Clinical Decision Support System should focus on the following:
– User-friendliness: The system should be easy to use, with clear instructions, an intuitive interface, and minimal data input requirements.
– Flexibility: The system should allow customization and preferences to different users, specialties, and workflows.
– Integration: The system should integrate with existing systems, workflows, and tools used by clinicians and minimize redundant data entry.
– Data accuracy: The system should ensure data accuracy, validity, and completeness by providing error-checking and reporting mechanisms.
– Timeliness: The system should provide real-time, actionable information to clinicians at the point of care to support their decision-making processes.
By incorporating these features, the system can improve clinical performance, efficiency, and quality of care.
3. The IMPACT database relies on critical care nurses to enter data into the system. An older nurse is struggling with inputting the data due to her advanced arthritis. What recommendations would you make to address the IMPACT user interface and ergonomics of the workplace to address the nurses’ data entry issue?
To address the data entry issue for the older nurse with advanced arthritis, the following recommendations can be made:
– Ergonomics: The workplace should be designed to minimize physical strain and discomfort by providing adjustable chairs, desks, keyboards, and lighting that meets ergonomic standards. The nurse can consider using voice recognition software or alternative input methods such as a stylus, trackball, or touch screen.
– User interface: The user interface of the IMPACT database should be optimized to reduce the number of clicks, typing, scrolling, and other repetitive tasks. The font size, contrast, and color scheme should be adjustable to meet the nurse’s visual requirements. The system should provide feedback and notifications when data input requirements are not met or incorrect.
– Training: The nurse should receive training on how to use the IMPACT database and alternative input methods. They should also be encouraged to report any issues or difficulties encountered, enabling the design team to make necessary adjustments to the user interface and input methods.
4. Design a new data input screen.
A new data input screen should focus on usability, simplicity, and efficiency. The screen should allow users to input data with minimal effort and provide feedback on the user’s performance. The new screen should:
– Be visually appealing: The screen should use clear and concise language, appropriate font size, color schemes, and graphics to make it easy to read and use.
– Minimize redundant data entry: The screen should be designed to avoid users having to enter the same data multiple times. It should pre-populate relevant fields and provide drop-down menus to reduce typing requirements.
– Provide error-checking: The screen should automatically check data input for completeness, accuracy, and consistency. It should also provide feedback to users when corrections are needed.
– Be customizable: The screen should allow individual users to customize it to their workflow and preferences.
5. Create a mock screen utilizing any of the Microsoft products.
Unfortunately, as an AI language model, I’m not able to create a mock-up screen. However, there are various Microsoft products available that can be utilized for designing a mock-up screen, such as PowerPoint, Visio or even Paint. These software tools allow creating diagrams, charts, and visual representations of screens allowing adding text, shapes, and other elements to create a realistic representation of the screen.
